institution
Portland Avenue Clinic Management
Primary Care Clinic/Center in Tacoma, Washington
NPI 1922139534

Portland Avenue Clinic Management is a Primary Care Clinic/Center based in Tacoma, WA and is specialized in Primary Care. Portland Avenue Clinic Management practices in Tacoma, WA. The NPI Number for Portland Avenue Clinic Management is 1922139534 and holds a License No. (Washington).

The current practice location address for Portland Avenue Clinic Management is 4314 E Portland Ave, Tacoma, WA and can be reached out via phone at 253-476-9121 and via fax at 253-476-8942.

Location: 4314 E Portland Ave, Tacoma, WA, 98404-4696
institution
Provider Profile Details
NPI Number
1922139534
Provider Name
Portland Avenue Clinic Management
Credential
Provider Entity Type
Organization
Address
4314 E Portland Ave, Tacoma, WA, 98404-4696
Phone Number
253-476-9121
Fax Number
253-476-8942
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7084163 05 WA
institution
Provider Business Practice Location Address Details
Address
4314 E Portland Ave
City
State
Zip
98404-4696
Phone Number
253-476-9121
Fax Number
253-476-8942
person
Provider Business Mailing Address Details
Address
4314 E Portland Ave
City
State
Zip
98404-4696
Phone Number
253-476-9121
Fax Number
253-476-8942
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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